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Total Results: 8,515 records

Showing results for "surgery".
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7981. The Soil, Not the Seed: The Real Problem with Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
      March 01, 2007 - known to be allergic to latex had an anaphylactic reaction to a Penrose (latex) drain inserted during surgery

7982. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49428/psn-pdf
      January 01, 2004 - Pronovost, MD, PhD Associate Professor, Anesthesiology and Critical Care Medicine, Surgery and Public

7983. Patient Allergies and Electronic Health Records | PSNet
      psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
      August 21, 2005 - , 2009 Documentation of drug allergy on drug chart in patients presenting for surgery

7984. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33868/psn-pdf
      October 01, 2018 - studied safety in other health care settings such as intensive care units, emergency departments, surgery

7985. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49548/psn-pdf
      October 01, 2007 - Thyrotoxicosis or thyroid storm may be precipitated by a number of clinical stressors including surgery

7986. Accountability in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/accountability-patient-safety
      January 01, 2018 - Perspective The Evolution of Patient Safety in Surgery

7987. National Patient Safety Goals | PSNet
      psnet.ahrq.gov/primer/national-patient-safety-goals
      January 16, 2025 - implemented by marking the accurate surgical site prior to the procedure and taking a pause before surgery

7988. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49505/psn-pdf
      March 01, 2006 - privileges.(1) In this circumstance, such a check would have shown a surgeon still holding his vascular surgery

7989. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
      February 26, 2025 - testing episodic bundle payment for hip and knee replacement, we looked at the 30 days prior to the surgery … , the surgery intervention, and then 90 days post-surgery.

7990. Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
      February 26, 2025 - testing episodic bundle payment for hip and knee replacement, we looked at the 30 days prior to the surgery … , the surgery intervention, and then 90 days post-surgery.

7991. In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
      April 26, 2023 - For example, as an anesthesiologist, during surgery, even if the patient’s blood pressure had gone down … because they’re intensely focused on performing the surgery. … Understanding the volume-outcome effect in cardiovascular surgery: the role of failure to rescue.

7992. Refused Medication Error | PSNet
      psnet.ahrq.gov/web-mm/refused-medication-error
      November 01, 2005 - June 3, 2010 Readiness of US general surgery residents for independent practice.

7993. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49713/psn-pdf
      June 01, 2014 - SCORE Curriculum Outline for General Surgery Residency 2013–2014: Patient Care and Medical Knowledge

7994. A Lot of Pain (Medications) | PSNet
      psnet.ahrq.gov/web-mm/lot-pain-medications
      September 23, 2020 - We are told that the patient in this case experienced a "worsening" of his pain after his surgery, but

7995. In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
      March 30, 2020 - For example, do we need to still look at wrong site surgery?

7996. In Conversation with…Christopher P. Landrigan, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
      April 01, 2005 - on preventing falls in nursing homes, or a physician interested in strategies to prevent wrong-site surgery

7997. Multiple Levels Involved in Prescribing the Wrong Medication | PSNet
      psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
      December 23, 2020 - The Case A 65-year-old woman complained of some ongoing nausea two weeks after hernia repair surgery. … The surgery itself had not been complicated and on her postoperative visit, her physical examination

7998. Intubation Mishap | PSNet
      psnet.ahrq.gov/web-mm/intubation-mishap
      April 26, 2023 - In anesthesia, surgery, or critical care, adequate "mental models" of the patient and the associated … , 2017 Understanding patient and clinician reported nonroutine events in ambulatory surgery

7999. Complications of ECMO During Transport | PSNet
      psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
      January 27, 2021 - also be used to bridge to lung or heart transplant, or for short-term support during advanced airway surgery … WebM&M Cases Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery

8000. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? | PSNet
      psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
      March 01, 2015 - In 1998, I was invited to be a part of the Bristol Royal Infirmary inquiry into children's heart surgery … I note in your recent Lancet article you said the families of the children who underwent cardiac surgery